A patient with depression has been prescribed fluoxetine. Which statement made by the patient indicates an understanding of the medication teaching?
"Disorientation and hallucinations are common."
"The drug may enhance my interest in sex."
"It may take 3 to 4 weeks before my mood is elevated."
"I can stop this medication when I feel less depressed."
The Correct Answer is C
Choice A rationale: Disorientation and hallucinations are not common side effects of fluoxetine. These symptoms may indicate other issues and should be reported to the healthcare provider.
Choice B rationale: Sexual side effects, including a potential decrease in interest in sex, are known side effects of fluoxetine. The statement suggesting enhanced interest is not accurate.
Choice C rationale: Fluoxetine, like other selective serotonin reuptake inhibitors (SSRIs), may take 3 to 4 weeks or even longer for the full therapeutic effect to be achieved.
Choice D rationale: Abruptly stopping fluoxetine is not recommended and can lead to withdrawal symptoms. The medication should be tapered under the guidance of a healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: Temperature is not a priority assessment before the administration of metoprolol for chronic stable angina.
Choice B rationale: Urinary function is not a priority assessment before the administration of metoprolol for chronic stable angina.
Choice C rationale: Respiratory rate is not a priority assessment before the administration of metoprolol for chronic stable angina.
Choice D rationale: The priority assessment before the administration of metoprolol is the heart rate. Metoprolol is a beta-blocker that primarily affects the heart rate, so it is important to assess for bradycardia before administration.
Correct Answer is A
Explanation
Choice A rationale: Before administering lithium, the nurse should assess serum creatinine levels. Lithium is excreted by the kidneys, and impaired renal function can lead to lithium toxicity.
Choice B rationale: Serum troponin I and T levels are markers of cardiac damage and are not directly related to lithium therapy.
Choice C rationale: Fasting blood glucose level is not specifically related to the assessment needed before administering lithium.
Choice D rationale: Serum lipid profile is not directly related to the assessment needed before administering lithium.
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